Individual
JENNIFER LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 THUNDERBIRD AVE, MCALLEN, TX 78504-6294
(910) 291-6954
Mailing address
3904 THUNDERBIRD AVE, MCALLEN, TX 78504-6294
(910) 291-6954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004577
NC
Other
Enumeration date
08/26/2015
Last updated
10/08/2020
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